INITIAL REQUEST FOR
FEDERAL EXCESS PERSONAL PROPERTY
***Each requested type of equipment requires a separate form***
The ___________________________________________________ hereby requests
(organization name, please print)
that the Louisiana Department of Agriculture and Forestry, Office of Forestry, begin the
“screening” process for the location, securing and obtainment of the following type of
equipment for the above-signed department.
BRIEF DESCRIPTION of REQUESTED EQUIPMENT (please include the following: type of equipment needed,
quantity requested, planned usage of equipment, how will this equipment supplement your current firefighting
capabilities)
COMPLETE THE FOLLOWING, PLEASE PRINT:
ORGANIZATION ADDRESS: ____________________________________________________________________
CITY, STATE, ZIP CODE: _______________________________________________________________________
PHONE NUMBER: ______________________________________________________________________________
POINT-OF-CONTACT NAME: ___________________________________________________________________
POINT-OF-CONTACT TITLE: ___________________________________________________________________
POINT-OF-CONTACT CELL NUMBER, if applicable: _______________________________________________
E-MAIL ADDRESS: _____________________________________________________________________________
I, ________________________________________, have read and reviewed the requirements expected of the fire
(please print name)
department with regards to FEPP equipment. As a authorized representative of the requesting department, I
understand that: this equipment may not be available at this time, that the equipment may require repairs,
maintenance or conversion to fulfill departmental needs, that all expenses will be the responsibility of the
requesting department, that the equipment must be placed into service within one year and that the TITLE
REMAINS WITH THE UNITED STATES FOREST SERVICE.
SIGNATURE: _____________________________________
DATE: _________________________________
PLEASE SUBMIT FORM BY E-MAIL TO: FORESTPROTECTIONfepp@ldaf.state.la.us
MAIL TO:
LDAF, OFFICE OF FORESTRY
Attn: Protection Branch, FEPP
P.O. Box 1628
Baton Rouge, LA. 70821-1628